"Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance"
About this Quote
The intent is corrective, even disciplinary. Sontag is warning that murky causality invites story-making, and story-making quickly becomes judgment. If a disease can’t be neatly traced, the imagination steps in with blame: lifestyle, character, desire, contamination, weak will. If treatment is ineffectual, the stakes rise; metaphors start offering a counterfeit control. People can’t cure the body, so they try to “read” it, as if decoding the illness could restore order.
The context, of course, is Sontag’s broader project (most famously in Illness as Metaphor): stripping diseases of the moral and political mythologies that stick to them - cancer as repression, TB as romantic sensitivity, later AIDS as deviance and punishment. Her subtext is that significance is not neutral. It is an instrument. Institutions, media, and even loved ones use the fog around a disease to enforce norms, to manage fear, to separate the “innocent” sick from the “guilty” sick.
The bite of the sentence is its quiet accusation: the more medicine fails, the more culture talks - and the talking can wound.
Quote Details
| Topic | Health |
|---|---|
| Source | Attributed to Susan Sontag, Illness as Metaphor (1978). |
| Cite |
Citation Formats
APA Style (7th ed.)
Sontag, Susan. (2026, January 15). Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance. FixQuotes. https://fixquotes.com/quotes/any-important-disease-whose-causality-is-murky-156057/
Chicago Style
Sontag, Susan. "Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance." FixQuotes. January 15, 2026. https://fixquotes.com/quotes/any-important-disease-whose-causality-is-murky-156057/.
MLA Style (9th ed.)
"Any important disease whose causality is murky, and for which treatment is ineffectual, tends to be awash in significance." FixQuotes, 15 Jan. 2026, https://fixquotes.com/quotes/any-important-disease-whose-causality-is-murky-156057/. Accessed 12 Feb. 2026.








